JBS Dalhart Housekeeping Audit NEW 2.20.19

• Document No.

• Location Name:

• Date Completed:

  Date

• Prepared by:

• Audit Team Members:

• Once a month each site must audit their site to ensure things are being kept safe. Please answer all questions. If the answer to the question is true, correct, safe enter "Safe". If the answer to the question is false, wrong, unsafe enter "At Risk". Export a PDF copy of audit to email and send a copy to the EHS manager and CC yourself so you have a completed copy.

• Audit Comments:

• Yes

  No

  N/A

SECTION: CONFINED SPACE

• 1. GENERAL C.S.: Proper Signs? Entrance Secured? Space Covered?

  Safe

  At Risk

  N/A

SECTION: ELECTRICAL SAFETY

• 1. GENERAL ELECTRIC: All cords free of: knots/nicks/cuts/splices/missing plug in prongs?

  Safe

  At Risk

  N/A

• 2. EXTENSION CORDS: not run through wall openings or doors/ connected to another extension cord?

  Safe

  At Risk

  N/A

• 3. BREAKER PANELS: labeled/door fits tightly/no open spaces/36” clearance?

  Safe

  At Risk

  N/A

SECTION: ELEVATED WORK/FALL PROTECTION

• 1. FIXED LADDER: Secure/Uniform rungs/no rungs missing/damaged?

  Safe

  At Risk

  N/A

• 2. PORTABLE LADDER: 300# rating/ good condition/stored properly?

  Safe

  At Risk

  N/A

• 3. STAIRS: handrail if 4 or more steps? Treads are free of slip/trip hazards?

  Safe

  At Risk

  N/A

• 4. FLOOR OPENING AND HATCHES: protected by hatch or guard rail?

  Safe

  At Risk

  N/A

SECTION: EMERGENCY ACTION PLAN

• 1. GENERAL EAP: Posted/Current?

  Safe

  At Risk

  N/A

• 2. EVACUATION: EXIT doors labeled & unlocked/non-Exit doors labeled/unobstructed path?

  Safe

  At Risk

  N/A

SECTION: FIRE PREVENTION

• 1. ALL FIRE EXTINGUISHERS: ready to use condition/inspected monthly/easily accessible?

  Safe

  At Risk

  N/A

• 2. CO/SMOKE ALARM: checked monthly? Heater/AC filter changed monthly?

  Safe

  At Risk

  N/A

• 3. SMOKING AREA: sign/butt can/ butt can dumped monthly?

  Safe

  At Risk

  N/A

SECTION: HAZARD COMMUNICATION (HAZCOM)

• 1. SDS: books/Sitehawk & MWI on computers?

  Safe

  At Risk

  N/A

• 2. CHEMICAL AUDIT: List a chemical at your site and where you found the SDS. Different one each month.

  Safe

  At Risk

  N/A

• 3. CHEMICALS/FLAMMABLES: properly labeled? Minimum needed? Stored properly? Flammables?

  Safe

  At Risk

  N/A

SECTION: HOUSEKEEPING/FARM INSPECTION

• 1. GENERAL HOUSEKEEPING: Showers clean/facet works/floor mats?

  Safe

  At Risk

  N/A

• 2. GENERAL HOUSEKEEPING: Hallways/Storerooms free of clutter/clean/organized/easy access?

  Safe

  At Risk

  N/A

• 3. GENERAL HOUSEKEEPING: Refrigerators/Semen coolers: clean under & behind/good wiring/ no rodent or insect nests?

  Safe

  At Risk

  N/A

SECTION: LOCKOUT/TAGOUT (LOTO)

• 1. GENERAL GUARDING: Are all Guards in place and in good/functioning condition over moving parts?

  Safe

  At Risk

  N/A

SECTION: PERSONAL PROTECTIVE EQUIPMENT (PPE)

• 1. PPE: stocked/available? EEs wearing? PPE in good condition? First Aid & Eyewash stocked?

  Safe

  At Risk

  N/A

SECTION: POWERED INDUSTRIAL TRUCK (PIT)

• 1. GENERAL PIT: in good condition? If not what is wrong & being done about it?

  Yes

  No

  N/A

SECTION: NURSING AUDIT

EMERGENCY EQUIPMENT

• 1. AED has been inspected monthly and nothing has expired? Look to ensure the monthly inspections have been completed and that nothing on the AED has expired (battery, pads)

  Yes

  No

  N/A

• 2. Does AED cabinet have unused universal precautions kit in it? Kit would include items like CPR barrier, gloves, etc.

  Yes

  No

  N/A

• 3. Portable eyewash station is available and stocked? Each site should have at least 1 portable eyewash bottle along with a display or mount that makes it clear what the function of the bottle is.

  Yes

  No

  N/A

FIRST AID INVENTORY

• 4. Absorbent compress. Count number in first aid cabinet. Min. of 1 required. Actual Count:

• 5. Adhesive bandages (Band-Aids). Count number in first aid cabinet. Min. of 16 required. Actual Count:

• 6. Adhesive tape. Count number in first aid cabinet. Min. of 1 required. Actual Count:

• 7. Antiseptic applications. Count number in first aid cabinet. Min. of 10 required. Actual Count:

• 8. Burn treatments. Count number in first aid cabinet. Min. of 6 required. Actual Count:

• 9. Medical exam gloves. Count number in first aid cabinet. Min. of 2 required. Actual count:

• 10. Sterile pads. Count number in first aid cabinet. Min. of 4 required. Actual Count:

• 11. Triangular bandage. Count number in first aid cabinet. Min. of 1 required. Actual Count:

• 12. 2X2 bandage compress. Count number in first aid cabinet. Min. of 4 required. Actual Count:

• 13. Chemical cold pack. Count number in first aid cabinet. Min. of 1 required. Actual Count:

• 14. 2 inch roller bandages. Count number in first aid cabinet. Min. of 2 required. Actual Count:

• 15. Antibiotic Treatment (0.14 fl. oz.) Count number in first aid cabinet. Min. of 10 required. Actual Count:

• 16. Eye Coverings. Count number in first aid cabinet. Min. of 2 required. Actual Count:

• 17. First Aid Guide. Count number in first cabinet. Min. of 1 required. Actual Count:

• 18. Hand Sanitizer (1/32 oz.). Count number in first aid cabinet. Min. of 6 required. Actual Count:

• 19. Scissors. Count number in first aid cabinet. Min. of 1 required. Actual Count:

SHARPS

• 20. Check Sharps Container. If container is up to FILL LINE choose YES.

  YES

  NO